Individual
MS. MELISSA ANN LOIACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
301 LOMA COLORADO NE, RIO RANCHO HIGH SCHOOL, RIO RANCHO, NM 87124
(505) 896-5695
(505) 896-5903
Mailing address
3513 NORTHFIELD CT NW, ALBUQUERQUE, NM 87107-2443
(505) 315-7102
(505) 896-5903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
197
NM
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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